Report 4/1/20111 L : bO PM Carlson 'resting Inc. — 8bO3b2436131 2
Bend Office (541) 330 -9155
Ceotechnical Office (503) 601 -8250
C arlson Testing, Inc. Eugene Office (541) 345 -0289
Salem Office (503) 589 -1252
Tigard Office (503) 684 -3460
Special Inspection
FINAL SUMMARY LETTER
Date: April 1, 2011
Job #: T1002312
City of Tigard
13125 SW Hall Blvd
Tigard, OR 97223 -8199
Attn: Building Department
Re. Project Name: The Knoll at Tigard Apartments — New Construction
Address: 12291 SW Knoll Drive — Tigard, OR
Permit #: BUP2010 -00033
Dear Sir or Madam:
This is to certify that in accordance with Section 1704,1.2 of the International Building Code, we have performed special
inspection of the following item(s) per our inspection reports only:
Reinforced Concrete
installation of Cast -In -Place Anchors, Adhesive Anchors and Expansion Anchors
Installation of Titen HD Screw Anchors
Structural Masonry
Structural Steel
All inspections and tests were performed and reported according to the requirements of Project Documents and, to the
best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders
and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's
design changes, approvals and verbal instructions.
Our reports pertain to the material tested /inspected only. Information contained herein is not to be reproduced, except in
full, without prior authorization from this office. Under all circumstances, the information contained in this report is
provided subject to all terms and conditions of CT1's General Conditions in effect at the time this report is prepared. No
party other than those to whom CTI has distributed this report shall be entitled to use or rely upon the information
contained in this document. If there are any further questions regarding this matter, please do not hesitate to contact this
office.
Respectfully submitted,
CARLSO TEST G, INC.
t 2_ Sfeven W. Leach "
Project Manager
SWL /eah
cc: The Knoll at Tigard Apartments LP— Sheila Greenlaw -Fink sgfinkCncpahinc.org
City of Tigard Building Division — Walter 'Chip' Barnet wafter @ tigard- or.gov
T M Rippey Consulting Engineers — Tim Agnew
Carleton Hart Architecture PC — Ben White >en .whiteOcarletonhart.corn
LMC Construction — Clyde Zahn clydczalmcincorpornted. com
GTG Consultants — Ann Liu al iu(9gtconsultants.com
Housing Development Center — Leslie Schwarz 1esiie @housinydevelopmentcenter.org
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IN COMPLETING AND SUBMITTING THIS TEST REPORT, THE TESTER CERTIFIES THAT THE.. _ -`T li
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RULES AND REGULATIONS OF THE WATER SYSTEM, AND STATE REGULATIONS: - _ ii � So
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'' GAUGE CALIBRATION DATE ";/ a- /t1 DETECTOR. METER REMIND
TESTER SIGNATURE 3275 : - �`
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TESTERS NAME PRINTED PO Box 1565 Sherwood OR 9 - , : . y
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- TESTERS ADDRESS (503) 6 25° -8553 ':�
Heath Backflow Inc. PHONE ., - -;�,;
COMPANY NAME - --
REPORT RECEIVED BY .(REPRESENTATIVE OF OWNER) SERVICE RESTORED- :�;ck -
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7650 SW Beveland Street, Suite 100
TM RIPPEY Tigard, OR 97223
CONSULTING ENGINEERS Phone: (503) 443 -3900
Fax: (503) 443 -3700
March 30, 2011
City of Tigard
Building Department
13125 SW Hall Blvd.
Tigard, OR 97223
Re: The Knoll at Tigard
12291 SW Knoll, Tigard, Oregon
Permit Number: BUP2010 - 00033
Project Number: 9244
To Whom It May Concern:
We are writing to confirm that in accordance with Chapter 17 of the International Building Code (as
amended by the 2010 OSSC); we have completed structural observations for the above noted project.
Copies of our field reports have been provided to your office. To the best of our knowledge all work
observed has been completed in accordance with the project documents and our office is not aware
of any outstanding non - compliant items.
If you have any further questions or require additional information, please do not hesitate to call.
Sincerely,
TimotYly M. Rippey, P.E., S.E. L`
4, =d
Principal
13,0S9 ri ° °
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TMR /tma � , REGON rb
cc: Ben White; Carleton Hart Architecture rr M c Fttt
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